PROXIMITY CARD REQUEST FORM
ONLY AUTHORIZED INDIVIDUALS AS PREVIOUSLY PROVIDED TO THE ID CENTER MAY USE THIS FORM. ANY OTHER REQUESTS WILL BE DISREGARDED.
These cards are $10.00 each, and payment is due upon pickup. Any individuals receiving a proximity card must first turn in their current ID if they have previously been issued one.
Your card will be ready within 2 business days. To inquire about your card, you can
call our office at (270) 745-2417.
*Requests made during semester start-up periods and/or TOP dates will not be processed until a later date.
PLEASE NOTE: IF THE EMPLOYEE DOES NOT WANT TO USE THE PICTURE THAT WE HAVE ON FILE PLEASE PUT THAT IN THE PROX REQUEST. OTHERWISE, WE WILL USE THE ONE WE HAVE ON FILE AND THEY WOULD HAVE TO PAY TO HAVE A NEW PICTURE TAKEN.
COMPLETE FORM BELOW PLEASE: